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Disappointed and Regretful
Imagine going to an ENT specialist to fix a breathing issue and walking away with not only that issue unresolved, but two new, life-altering problems. That’s the reality I’ve been living since my surgery with Dr. Menachof.
I sought his help for what I believed was a straightforward issue—a deviated septum that made breathing difficult. I had always been self-conscious about my nose—it was crooked, had a bump, and felt too large for my face. After a CT scan confirmed a severe septal deviation, I was told a septoplasty could help. I mentioned my cosmetic concerns, and Dr. Menachof said that combining rhinoplasty with septoplasty would be the best approach. His staff showed me a photoshopped version of what my nose might look like post-op—not a guarantee, just a general idea—and Ginger, his assistant, assured me I’d be in the best hands and that he’d revise it as many times as needed until I was happy. At the time, that sounded comforting. In hindsight, it was a red flag.
I emphasized again and again that my breathing was the top priority. I just wanted to be able to breathe clearly and have a natural-looking nose that still looked like me. Despite my fiancé and family expressing concerns, I pushed forward with the septo-rhinoplasty on November 1, 2022. I was hopeful—excited, even—for a positive change.
The recovery was harder than I imagined—painful, messy, isolating—but I managed. What I didn’t expect was to feel a growing sense of regret. When the cast came off, I was in shock. The nose looked somewhat better at first glance, but I noticed significant asymmetry and odd irregularities. I also noticed that there are obvious scars along my columella and inside of the nostrils that show and don’t look natural. I now have alar retraction resulting in much more nostril show than before making those scars more obvious to the naked eye. Over time, the asymmetry became more pronounced, and I realized my breathing hadn’t improved—in fact, it had become more complicated. I had persistent difficulty breathing through my right nostril.
Dr. Menachof suggested a revision septoplasty six months later, which I underwent on May 2, 2023. I wasn’t given a clear explanation of what would be done, and after surgery, my nose looked the same. What I only discovered much later is that during my original surgery, Dr. Menachof had performed radiofrequency coblation on my inferior turbinates—something I was never clearly informed about or given the opportunity to consent to with full understanding of the risks of Empty Nose Syndrome.
It’s been over two years since my first surgery, and my quality of life has plummeted. My left nostril leaks clear fluid constantly. My right nostril feels painfully dry, crusted, and oddly obstructed despite being physically wide open. Breathing doesn’t feel natural anymore—it feels like work. I’ve lost the ability to do basic things without discomfort: I can’t exercise, talk for long, eat a meal, or even enjoy social events without constantly wiping my nose or feeling like something is wrong. I’ve gone back to Dr. Menachof multiple times, desperate for answers, but each time he dismisses my concerns, tells me everything “looks great,” and offers no real help.
This experience has been physically and emotionally devastating. I never expected a surgery meant to improve my life to leave me in a worse state than before. I’ve fallen into a depression, therapy isn’t helping, the idea of a revision is so scary and also not financially possible now. I have a very hard time looking back at photos before this procedure because I now realize my nose wasn’t that bad and functionally it was much much better than it is now. If I could go back, I would never have done it—especially not with this provider.
If you are considering rhinoplasty, please be honest with yourself about body dysmorphia. It is a permanent change and cannot be undone! Learn everything you can about turbinate reduction and conditions like Empty Nose Syndrome. Don’t rush into it. Consult multiple board-certified plastic surgeons and otolaryngologist and demand full transparency about every step of the procedure and every structure that will be touched.
I wish someone had warned me. I hope this review helps someone else avoid the suffering and regret I’m now living with every single day. I’ve attached photos.
I sought his help for what I believed was a straightforward issue—a deviated septum that made breathing difficult. I had always been self-conscious about my nose—it was crooked, had a bump, and felt too large for my face. After a CT scan confirmed a severe septal deviation, I was told a septoplasty could help. I mentioned my cosmetic concerns, and Dr. Menachof said that combining rhinoplasty with septoplasty would be the best approach. His staff showed me a photoshopped version of what my nose might look like post-op—not a guarantee, just a general idea—and Ginger, his assistant, assured me I’d be in the best hands and that he’d revise it as many times as needed until I was happy. At the time, that sounded comforting. In hindsight, it was a red flag.
I emphasized again and again that my breathing was the top priority. I just wanted to be able to breathe clearly and have a natural-looking nose that still looked like me. Despite my fiancé and family expressing concerns, I pushed forward with the septo-rhinoplasty on November 1, 2022. I was hopeful—excited, even—for a positive change.
The recovery was harder than I imagined—painful, messy, isolating—but I managed. What I didn’t expect was to feel a growing sense of regret. When the cast came off, I was in shock. The nose looked somewhat better at first glance, but I noticed significant asymmetry and odd irregularities. I also noticed that there are obvious scars along my columella and inside of the nostrils that show and don’t look natural. I now have alar retraction resulting in much more nostril show than before making those scars more obvious to the naked eye. Over time, the asymmetry became more pronounced, and I realized my breathing hadn’t improved—in fact, it had become more complicated. I had persistent difficulty breathing through my right nostril.
Dr. Menachof suggested a revision septoplasty six months later, which I underwent on May 2, 2023. I wasn’t given a clear explanation of what would be done, and after surgery, my nose looked the same. What I only discovered much later is that during my original surgery, Dr. Menachof had performed radiofrequency coblation on my inferior turbinates—something I was never clearly informed about or given the opportunity to consent to with full understanding of the risks of Empty Nose Syndrome.
It’s been over two years since my first surgery, and my quality of life has plummeted. My left nostril leaks clear fluid constantly. My right nostril feels painfully dry, crusted, and oddly obstructed despite being physically wide open. Breathing doesn’t feel natural anymore—it feels like work. I’ve lost the ability to do basic things without discomfort: I can’t exercise, talk for long, eat a meal, or even enjoy social events without constantly wiping my nose or feeling like something is wrong. I’ve gone back to Dr. Menachof multiple times, desperate for answers, but each time he dismisses my concerns, tells me everything “looks great,” and offers no real help.
This experience has been physically and emotionally devastating. I never expected a surgery meant to improve my life to leave me in a worse state than before. I’ve fallen into a depression, therapy isn’t helping, the idea of a revision is so scary and also not financially possible now. I have a very hard time looking back at photos before this procedure because I now realize my nose wasn’t that bad and functionally it was much much better than it is now. If I could go back, I would never have done it—especially not with this provider.
If you are considering rhinoplasty, please be honest with yourself about body dysmorphia. It is a permanent change and cannot be undone! Learn everything you can about turbinate reduction and conditions like Empty Nose Syndrome. Don’t rush into it. Consult multiple board-certified plastic surgeons and otolaryngologist and demand full transparency about every step of the procedure and every structure that will be touched.
I wish someone had warned me. I hope this review helps someone else avoid the suffering and regret I’m now living with every single day. I’ve attached photos.
Provider Review
Board Certified Otolaryngologist
7400 E .Crestline Cir., Greenwood Village, Colorado